Our Commitment to Your Privacy

Dr. Daniel Tagge and our practice are committed to protecting your health information. We are required by law to maintain the privacy and security of your protected health information (PHI), provide you with this notice of our legal duties and privacy practices, and follow the terms of this notice.

How We May Use and Disclose Your Health Information

We may use and disclose your health information for the following purposes:

Treatment

We may use and disclose your health information to provide, coordinate, or manage your health care and related services. This includes consultation with other healthcare providers regarding your treatment.

Example: We may share your lab results with a specialist to coordinate your care or discuss your case with other healthcare providers involved in your treatment.

Payment

We may use and disclose your health information to obtain payment for services we provide to you.

Example: We may submit claims to your insurance company or provide information to justify the medical necessity of services.

Healthcare Operations

We may use and disclose your health information for healthcare operations, including quality assessment, improvement activities, and business planning.

Example: We may review your treatment records to evaluate the quality of care provided or for staff training purposes.

Other Uses and Disclosures

We may also use and disclose your health information in the following situations:

Required by Law

• Court orders and legal proceedings
• Law enforcement investigations
• Public health authorities
• Health oversight agencies
• Workers' compensation claims

Public Health Activities

• Preventing or controlling disease, injury, or disability
• Reporting vital events such as births or deaths
• Reporting suspected abuse, neglect, or domestic violence
• Food and Drug Administration requirements

Health and Safety

We may disclose your health information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.

Business Associates

We may disclose your health information to business associates who perform services on our behalf, such as billing companies, IT support, or laboratory services. These associates are required to protect your health information.

Uses and Disclosures Requiring Your Authorization

We will obtain your written authorization before using or disclosing your health information for:

• Marketing purposes
• Sale of your health information
• Psychotherapy notes (if applicable)
• Most uses and disclosures not described in this notice

You may revoke your authorization at any time by writing to us, except to the extent that we have already taken action based on your authorization.

Your Rights Regarding Your Health Information

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your health information for treatment, payment, or healthcare operations. We are not required to agree to your request, but if we do, we will comply with your request unless the information is needed to provide emergency treatment.

Right to Request Confidential Communications

You have the right to request that we communicate with you about your health information in a certain way or at a certain location. For example, you may ask that we contact you only at work or by mail.

Right to Access Your Health Information

You have the right to inspect and copy your health information. We may charge a reasonable fee for copying costs. In some limited circumstances, we may deny your request to access your health information.

Right to Request Amendment

You have the right to request that we amend your health information if you believe it is incorrect or incomplete. We may deny your request if the information was not created by us, is not part of the health information kept by us, or is already accurate and complete.

Right to an Accounting of Disclosures

You have the right to request an accounting of disclosures we have made of your health information for purposes other than treatment, payment, healthcare operations, and certain other activities.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.

How to Exercise Your Rights

To exercise any of your rights, please submit a written request to:

We will respond to your request within 30 days. In some cases, we may extend this timeframe by an additional 30 days.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

File a Complaint with Us:

File a Complaint with HHS:

Changes to This Notice

We reserve the right to change this notice and make the new notice apply to health information we already have about you, as well as any information we receive in the future. We will post a copy of the current notice on our website and make copies available upon request.

Effective Date

This notice is effective as of December 2024.